Healthcare Provider Details

I. General information

NPI: 1972449460
Provider Name (Legal Business Name): CHIKA UGWU & COMPANY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1439 WHITE DWARF DR
BEAUMONT CA
92223-3458
US

IV. Provider business mailing address

1752 E LUGONIA AVE STE REDLANDS
REDLANDS CA
92374-2730
US

V. Phone/Fax

Practice location:
  • Phone: 909-334-0245
  • Fax:
Mailing address:
  • Phone: 840-400-2558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHIKA Q UGWU
Title or Position: OWNER
Credential: DNP, PMHNP
Phone: 909-334-0245